Provider First Line Business Practice Location Address:
341 HOSPITAL DR.
Provider Second Line Business Practice Location Address:
FAMILY HEALTH ASSOCIATES, P.C.
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65536-7152
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-588-3918
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/14/2005